Individual
KOMAL JIT KAUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
1852 W 11TH ST STE 497, TRACY, CA 95376-3736
(408) 332-9697
Mailing address
1852 W 11TH ST STE 497, TRACY, CA 95376-3736
(408) 332-9697
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
9503265
CA
Other
Enumeration date
10/23/2024
Last updated
10/23/2024
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